Hyperstimulation wesibeletho syndrome: Izimpawu kanye Ukwelashwa

hyperstimulation wesibeletho ngokuthi impendulo nokuphathwa lezi zindikimba kanye nokulungiselela yabo isikhulisi. Kulokhu, umzimba eshintsha izinqubo ukuhluka: sikhula capillary igazi nezitsha abe izacile, futhi uketshezi neze okuphuma emzimbeni. Ngeshwa, lokhu akuyona inkinga enkulu. Uma sebakhiwe, kuyogcina kubangele ngalesi sifo, ikhambi okuzoba nzima kakhulu.

Wesibeletho hyperstimulation syndrome namuhla zokugula kaningi abesifazane abaningi, ngakho ngamunye kubo kudingeka wazi ukuthi iyini angase abe nezimpawu nezizathu isifo. Into ebaluleke kakhulu - uma uthola izimpawu ezifanayo kufanele ngokushesha ubone onguchwepheshe, noma inkinga kungadala umonakalo emzimbeni.

Kuyini wesibeletho hyperstimulation syndrome

OHSS (hyperstimulation wesibeletho syndrome) - isimo esibucayi ezingase zenzeke emva inqubo IVF. Isizathu esiyinhloko ukuthi secrete udokotela abahlola for ezingxenyeni eziningi isifo, ukwethulwa umzimba lensikazi esiningi ngokweqile izidakamizwa edingekayo ukuze sikhuthaze ukukhiqizwa kwamaqanda.

Bazikhulumele syndrome noma ngasiphi isikhathi. Ngokwesibonelo, ngaphambi kokuba ukudlulisa umbungu esibelethweni noma ngemva yenzeka.

izizathu

imithi yesimanje Nokho ifinyelele ezingeni ngokwanele high, kodwa futhi ukunquma ukuthi kungenzeka hyperstimulation wesibeletho e isiguli esithile ngemva inxeba ncamashi akekho ikani. NgoLwesine kutholakale isidumbu sendoda Yilowo nalowo muntu wesifazane bayosabela kanjani lapho izinguquko ngendlela yalo, ngakho ukuvimbela inkinga ngokushesha kuyoba nzima ngempela.

Kodwa ngisho kunjalo, odokotela engimamukele izici ezithile ukuthi bavame ukunezela ukuvela ukuthuthukiswa ngokushesha lesi sifo. Ngokwesibonelo, uhlu kuhlanganisa:

• nezici ezithile ukuze lesi sifo ezakhini zofuzo kubantu besifazane nge yemvelo blonde hair umbala kuze iminyaka 36 (ngokuvamile iziguli enjalo okungeke akhuluphele);
• adluliselwe polycystic syndrome esibelethweni ;
• umsebenzi ngokweqile estradiol ohlelweni igazi;
• komzimba nezinto izidakamizwa, okuyinto eye yaqinisekiswa eminyakeni yamuva.

ososayensi Foreign ngibeké phambili ngamaphuzu ambalwa ezihlobene inqubo IVF futhi kaningi kakhulu lesi sifo. Ngakho, kungaba avuse:

• amaphutha okuphawulekayo umthamo izidakamizwa;
• eliphansi kakhulu owesifazane ke ukuthi umzimba wawo (sokuzincisha ukuthambekela nokunye okunjalo);
• ukuphendula okungazelelwe engakhi amalungiselelo athile hormone;
• owawunalo izinkinga zokugcina efanayo.

izimpawu

Ngaphansi kokuqondisa zezici ezibalwe ngezansi kungashiwo ngokuqiniseka ukuthi ekuthuthukiseni wesibeletho hyperstimulation syndrome. Izimpawu kuzosiza ukuqinisekisa olunembile kunenkinga kuphela uma kukhona okungenani isigamu ohlwini:

1. Ngo esigabeni sokuqala isiguli uyozizwa ubuthakathaka obuthile kanye ngukujabha. Uzobe zokuzikhukhumeza, ubuhlungu lapho ubahlulela futhi okungazelelwe ephansi endaweni esiswini. Isiguli lungaphezu iqhaza ukuchama.
2. Ezingeni isilinganiso phansi kwasekuqaleni kukhona isicanucanu nokuhlanza, bese kube uhudo, ukuvuvukala iba lubonakale isisindo somzimba.
3. Sinzima imayelana nani izinguquko ezinkulu nakakhulu - kufushane njalo umoya, izinguquko ukushaya kwenhliziyo. Isiguli kungaba hypotension, kwandisa isisu kakhulu.

ukuhlola

Kwaze kwaba yilapho sebeshiye uphethwe kunesidingo iba sobala indlela yokuphatha wesibeletho hyperstimulation sifo ngo isiguli esithile. Kahle hle, umzimba wonke umuntu usabela izidakamizwa ezithile ngenye indlela.

Njengoba sekushiwo ngenhla, wesibeletho hyperstimulation sifo ngo-IVF - kuyinkinga lalivamile. ukwelashwa kwakhe ngeke kube lula kakhulu, kodwa uyephuza ukwelashwa akudingekile kudokotela.

ukuxilongwa okujwayelekile kusekelwe lezi zinto ezilandelayo:

• Uhlaziyo zonke izikhalazo nesineke. Ngokwesibonelo, isimo sibi zempilo, yayibona njalo ubuhlungu besisu ngaphandle izizathu eziqondile, alternation isicanucanu nokuhlanza.
• umlando okuyimpoqo lesi sifo, lapho izimpawu kwaqala ukuvela ngemva kokukhululwa kwe-neqanda elivela esibelethweni.
• Ukuhlaziya umlando wokuphila. Eqoshiwe izifo ngaphambi idluliselwe, khona eziluthayo ezinhlobonhlobo Ezimweni ezinjalo lokugula emva inqubo IVF.
• Imiphumela yocwaningo lwe-survey jikelele we wezifo zabesifazane, lesisu palpation maqembu (kumele amaqanda zimba).
• Ultrasound luhlolo ukubonisa ngokunembile amaqanda lakhulisiwe, khona-fetus, kanye ukunikeza ithuba ukuthola uketshezi xaxa ukuthi yakha up in esiswini.
• Obuphelele laboratory ukuhlolwa kwegazi. Khona-ke isamba ngokweqile kwama-hormone ocansini zingatholakala, ukuhlaziya jikelele ikhombisa khona izindawo igazi uqweqwe bese kwamakhemikhali - ngokulambisa izimpawu ezisobala ezibatshela lokhu izinguquko ekusebenzeni nezinso.
• Urinalysis (ngesikhathi nokwehla umchamo izobonwa, ukwanda kwabantu, kanye ne ukukhethwa amaprotheni ku umchamo).
• Electrocardiography, bese emisebeni ultrasonic wenhliziyo (ke uzothola ezinye ukushayisana umsebenzi inhliziyo).
• Chest radiographs ukukhombisa khona uketshezi ingaphakathi langaphakathi kwesifuba, kanye kule pericardium.

zinhlobo

Ubude kwezokwelapha kunezinhlobo ezimbili izimpawu:

1. Early. It kwenzeka ngokushesha ngemva kokuba ukukhiqizwa kwamaqanda. Kuleso simo, uma kungaba ukuthi ukukhulelwa kuphazamisa ingekho, kusho ukunakekelwa Syndrome futhi obhekwe kokuya esikhathini entsha.
2. Kuyinto sekwephuzile. Kutfutfukisa futhi kwenza ngokwayo wazizwa kuphela ngenyanga yokukhulelwa wesibili noma wesithathu. Kulokhu, wesibeletho hyperstimulation syndrome, ekwelapheni lapho ngeke kube lula, eligeleza nzima.

Ngaphezu kwalokho, kukhona ezintathu kobukhulu eziyisisekelo sifo:

1. Easy. Hhayi ukuwohloka lubonakale kakhulu zempilo, kwaba lokungahlaliseki nokuvuvuka esiswini.
2. Isilinganiso. Okuningi lubonakale besisu ubuhlungu, ukuwohloka nokuvuvukala. Futhi ophilisayo umuzwa ukucanuzela kwenhliziyo, ukuhlanza. A ketshezi uqala buthelela ngaphakathi komgodi ongaphakathi kwamathumbu.
3. Heavy. Ukuwohloka Sinzima womuntu isimo, ubuthakathaka, wezwa ubuhlungu ebukhali kakhulu esiswini. Ingcindezi incipha, iphika ngenxa ketshezi zanqwabelana.

ukwelashwa

Uma amafomu sibi wesibeletho hyperstimulation syndrome (IVF) yokwelapha ihilela kuphela izinguquko ekudleni ejwayelekile:

• Kuyadingeka ukuba amphuzise lwezikhathi ekusetshenzisweni liquid banamathela kuwo. Kungase kungabi nje amanzi avamile amaminerali, kodwa futhi itiye eliluhlaza noma compote okuzenzela. Utshwala neziphuzo carbonated kumele isuswe.
• Esikhathini ukudla washisa akuyona kakhulu okunamafutha inyama, imifino nenhlanzi okuphekiwe isimo.
• Ukuvivinya umzimba akukafuzi ezinkulu, yokwanda ngokweqile futhi kugwenywe.

Kodwa ekwelapheni amafomu nokulinganisela ezinzima lesi sifo kwenzeka kuphela esibhedlela. Kube labetibambile nokuqapha njalo isimo lesiguli (ukulawula umsebenzi umsebenzi ukuphefumula we senhliziyo uhlelo, isibindi nezinso). yokwelapha iziguli okuhleliwe kusho inikezwa, okuyinto kunciphisa semithambo permeability (antihistamine, corticosteroids, futhi m. P.) Kanye izidakamizwa okuyinto ukunciphisa thromboembolism usongo ( "Clexane" "Fraksiparin" et al.).

yezinkinga

Wesibeletho hyperstimulation syndrome kungaholela ezinye izinkinga, futhi ingozi emzimbeni wesiguli. Lezi zihlanganisa:

• ukunqwabelana uketshezi (ngezinye izikhathi afinyelela ku-20 l) e ngaphakathi komgodi ongaphakathi kwamathumbu;
• ukudabuka elilodwa esibelethweni ukopha ezinzima;
• izinkinga zenhliziyo (uma imisipha ayikwazi ukusebenza e isigqi evamile);
• Ukuwohloka ezikhiqiza amaqanda amabili ngaphambi kwesikhathi.

Indlela yokugwema izinkinga

Ngaphambi ekugcineni owesifazane lunqunywe IVF, odokotela kufanele ngaso sonke isikhathi cabanga zonke izinyathelo kungenzeka zokuvimbela:

1. Khansela esasikhipha umthamo ezithile ovulatory isidakamizwa esisetshenziswa phakathi naleyo nqubo.
2. Ngesikhathi abanye ukukhansela ukufakelwa embungwini ukudluliswa okwalandela esibelethweni elandelayo esikhathini.
3. Ubuningi lahlani izinhlumba futhi follicle, okuyizinto njalo avele esikhathini ingqondo.

Kunemibono eminingi zokuthi singakugwema kanjani wesibeletho hyperstimulation syndrome. Uphenyo lolu hlelo zingatholakala ku ezithangamini ezehlukene kwi-inthanethi, kodwa futhi impilo ukonga akwanele ukulalela abanye abantu. Udinga ukuqaphela kahle ukungathí sina kwaleso simo futhi ukubonakala nezimpawu cishe kufanele ubonane nodokotela.

zokuvimbela

Ngaphezu izindlela eziyisisekelo engenhla, kunezinye izindlela zokuvimbela. umphumela yabo zizosebenza okuningi kwezinye iziguli. Phela, abesifazane abafisa ukuba babe nomntwana, aqaphelisise impilo yabo, ukuze umbungu yabo baba nezinkinga.

Prevention hyperstimulation wesibeletho syndrome siqukethe le mithetho elandelayo:

1. Umthamo noma yimuphi umuthi kumele njalo ukuqinisekiswa.
2. Umthamo gonadotropins kungancipha uma lokho akusho ubuhlungu umphumela edingekayo ngemva kokuhlinzwa. Uma uphumelele, zokunciphisa umthamo ungaqiniseka cishe sasiyikhulu namashumi per cent ukuthi sifo buye kugwenywe.
3. Ngemva kokudlula ezikhungweni zonke izivivinyo, nokwenza nenqubo, udokotela ungenza isiphetho mayelana nokwenzeka umbungu okokuqandisa. Luphinde zidlala indima ebalulekile ekugwemeni izinkinga.

Lesi sifo esabisa

Up ukuqagela obhekene ukubukeka kwalesi sifo, akunakwenzeka. Kodwa kukhona kaningi kakhulu lapho ukubonakala hyperstimulation wesibeletho syndrome. Phakathi kwabo - encane isisindo inkazana kumbe umuntu wesifazane, unquma ukuba sifeze inqubo, kanye neziguli kanye amaqanda fibrosis noma polycystic (lokhu kungaba isifo njengasezinsukwini sanje, futhi kakade adluliselwe esikhathini esidlule).

Medicine kuze kube manje liye impumelelo eningi, kodwa futhi ukufinyelela imiphumela ekahle ingakwazi okwamanje. Ngakho-ke, ngaphambi kokuba inqubo kwesibeletho fertilization, akukho udokotela ayikwazi ukuqinisekisa ukungabi khona kwezifo ngemva IVF. Kodwa uma kubonakala ukuthuthukiswa yayo okwakuhlalwa kuzo lapho kusaqalwa, ukuphathwa ngeke isikhathi eside kakhulu.